Active NPI
Susan Branham
- Psychiatric/Mental Health Nurse Practitioner
- Mount Pleasant, TX
National Provider Identifier
1871117580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SUSAN BRANHAM
- Practice address
- 107 W 20TH St
Mount Pleasant, TX 75455-2323 - Phone
- (903) 575-7856
- Fax
- (903) 572-3407
- NPI assigned
- May 29, 2020
- Last updated
- May 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Branham, ANP-BC, PMHNP-BC
- Title
- Nurse Practitioner
- Phone
- (903) 575-7856
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
107 W 20TH St
Mount Pleasant, TX 75455-2323
Mailing address
107 W 20TH St
Mount Pleasant, TX 75455-2323
Phone (903) 575-7856
Other names 1
- Susan Branham
National Provider Directory
National Provider DirectoryLocations
107 W 20th St
Mt Pleasant, TX 75455
Phone (903) 572-8783
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mount Pleasant, TX
- NPI 1154574747
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590710400000",
"number": "1871117580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W 20TH ST",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552323",
"telephone_number": "903-575-7856",
"fax_number": "903-572-3407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W 20TH ST",
"city": "MOUNT PLEASANT",
"state": "TX",
"postal_code": "754552323",
"telephone_number": "903-575-7856",
"fax_number": "903-572-3407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN BRANHAM",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-29",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A",
"authorized_official_last_name": "BRANHAM",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "903-575-7856",
"authorized_official_credential": "ANP-BC, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Susan Branham",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mount Pleasant, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.